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Quality management by result-oriented indicators Towards benchmarking in residential care for older people

Measuring Progress: Indicators for care homes Co-financed by the European Commission DG Employment, Social Affairs and Equal Opportunities

Indicator No 1

Percentage of residents who suffer from decubitus ulcers stage 2 4 that began in the care home.

Indicator No 2

Percentage of residents who suffer from intertrigo

Indicator No 3

Percentage of residents for whom medication errors have been reported over the past 30 days

Indicator No 4

Percentage of residents who have had a health check by a specialist (ophthalmologist/dentist/chiropodist/hearing specialist) periodically

Indicator No 5

Percentage of residents who had a relative weight loss in the last month that was unintended and was not agreed in the treatment plan of the resident.

Indicator No 6

Percentage of residents with dehydration symptoms

Indicator No 7

Percentage of residents who had a fall incident in the past 30 days

Indicator No 8

Percentage of residents who have displayed signs of challenging behaviour towards staff members and/or other residents during the past seven days

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Indicator No 9

Percentage of residents who were physically restrained during the last seven days

Indicator No 10

Percentage of residents who are incontinent of urine at least once a week

Indicator No 11

Percentage of residents with a long-term catheter, inserted more than 14 days ago

Indicator No 12

Percentage of residents suffering from pain in the last 30 days

Indicator No 13

Percentage of residents who use anti-psychotic medication

Indicator No 14

Percentage of residents suffering from dementia who use neuroleptics

Indicator No 15

Percentage of residents who use anti-depressants

Indicator No 16

Percentage of residents diagnosed with depressive symptoms at one point in time

Indicator No 17

Percentage of residents with deficits in their mouth and teeth status

Indicator No 18

Percentage of residents with diagnosed care needs due to gerontopsychiatric disorders

Indicator No 19

Percentage of residents who are satisfied with the personal care

Indicator No 20

Percentage of residents suffering from thromboses

Indicator No 21

Percentage of residents with contractures

Indicator No 22

Percentage of permanently bed-ridden residents

Indicator No 23

Percentage of residents with enteral tube feeding (PEG-tube)

Indicator No 24

Percentage of residents with an assessment of individual nutrition

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resources and risks

Indicator No 25

Percentage of residents who feel emotionally supported in managing their sense of loss

Indicator No 26

Percentage of relatives/friends who feel emotionally supported

Indicator No 27

Percentage of staff who feel emotionally supported in dealing with constant loss and bereavement at work

Indicator No 28

Percentage of residents who feel staff in their unit know their life story

Indicator No 29

Percentage of relatives/friends who feel staff know who they are

Indicator No 30

Percentage of staff who feel their personal skills and abilities are recognised by colleagues

Indicator No 31

Percentage of relatives/friends who feel welcomed in the care home

Indicator No 32

Percentage of residents, relatives and staff who feel the care home is part of their local community

Indicator No 33

The percentage of decisions implemented by the leadership of the care home based on decisions made by the residents’ council

Indicator No 34

Percentage of residents who feel their own rights are acknowledged and acted on

Indicator No 35

Percentage of relatives/friends who feel involved in decisionmaking about their resident’s care

Indicator No 36

Percentage of staff who feel that they can take informed risks in caring for residents

Indicator No 37

Percentage of residents who feel their health is promoted to optimise their quality of life

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Indicator No 38

Percentage of relatives/friends who feel their resident has adequate access to healthcare services

Indicator No 39

Percentage of staff who feel their own health (physical health and wellbeing) is valued at work

Indicator No 40

Percentage of residents who feel able to talk about death and dying if staff, when they wish so

Indicator No 41

Percentage of relatives/friends who have discussed with staff endof-life care plans for their resident

Indicator No 42

Percentage of staff who feel emotionally supported when residents die

Indicator No 43

Percentage of residents who feel there are not enough staff available to meet their needs

Indicator No 44

Percentage of relatives/friends who feel staff are competent to care for their resident

Indicator No 45

Percentage of staff who feel their training needs are met to care for residents

Indicator No 46

Percentage of residents who feel there is a positive atmosphere in the care home

Indicator No 47

Percentage of relatives/friends who feel their suggestions for improvement are welcomed by staff

Indicator No 48

Percentage of residents who feel safe, protected and secure in the care home

Indicator No 49

Percentage of residents who feel staff are friendly to them

Indicator No 50

Percentage of residents who feel they can have visitors whenever they like

Indicator No 51

Percentage of residents who feel staff encourage them to help themselves

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Indicator No 52

Percentage of residents who feel staff give them time to do things on their own

Indicator No 53

Percentage of residents who feel staff respect their personal belongings

Indicator No 54

Percentage of staff who feel residents’ families appear to trust them.

Indicator No 55

Percentage of relatives/friends who feel staff respond quickly when their relative asks for help.

Indicator No 56

Percentage of relatives/friends who feel their resident seems happy in the home

Indicator No 57

Percentage of relatives/friends who feel the home smells pleasant

Indicator No 58

Percentage of relatives/friends who feel they are involved in decisions about their resident’s care

Indicator No 59

Percentage of relatives/friends who feel staff appreciate their input to their resident’s care

Indicator No 60

Percentage of relatives/friends who feel they are kept up-to-date with changes affecting their resident.

Indicator No 61

Number of joined initiatives that engage positively residents, relatives and staff with the external community in the last year

Indicator No 62

Percentage of resident voluntary participation in organised social activities during a chosen period

Indicator No 63

Percentage of residents who feel their privacy is adequately protected

Indicator No 64

Percentage of relatives with whom at least two meetings to review care were carried out per year

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Indicator No 65

Percentage of residents (and their relatives) with a defined key worker

Indicator No 66

Percentage of residents who received professional end-of-life care in the last year

Indicator No 67

Percentage of residents whose cultural needs and preferences are met

Indicator No 68

Percentage of residents who have an up-to-date end-of-life care plan that is consistent with their preferences

Indicator No 69

Percentage of residents who are satisfied about the taste and quality of the meals

Indicator No 70

Percentage of residents who feel they have sufficient control over their daily living

Indicator No 71

Percentage of complaints by different stakeholders that have been adequately addressed in the framework of a complaints management system

Indicator No 72

Percentage of residents who have had defined care plans that are regularly updated and evaluated with specific measures according to their individual needs

Indicator No 73

Ratings of family members/close friends/advocates with respect to their satisfaction with care quality

Indicator No 74

Average percentage of overtime work (including non-paid hours)

Indicator No 75

Average percentage of working time lost due to sickness of staff

Indicator No 76

Average direct financial resources available for health promotionrelated training, meetings and infrastructures per staff member

Indicator No 77

Percentage of staff with advanced training in dealing with dementia and cognitive decline

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Indicator No 78

Average number of hours in formal training per staff member by profession

Indicator No 79

Percentage of staff who agree with the statement that high standards of moving and handling are practiced in their care home

Indicator No 80

Percentage of staff who agree with the statement that colleagues work with them as part of a team

Indicator No 81

Percentage of staff who agree with the statement that records are kept up-to-date in their care home

Indicator No 82

Percentage of staff who agree with the statement that their care home has the goal to deliver high standards of care

Indicator No 83

Percentage of staff who agree with the statement that all grades of staff are being equally valued in their role

Indicator No 84

Percentage of residents/family/friends who agree with the statement that they had been provided relevant information by admission into the care home

Indicator No 85

Percentage of staff who agree with the statement that the decisions in their care home are made based on the quality of care rather than purely on financial resources

Indicator No 86

Percentage of absence times (sickness, vacation, other) and auxiliary times (meetings, training, etc.) as a share of the total working time

Indicator No 87

Percentage of staff by age groups (professional groups)

Indicator No 88

Overall cost per resident for the care home, per year

Indicator No 89

Staff cost per care days

Indicator No 90

Average time for direct care provided per day per resident

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Indicator No 91

Degree of capacity utilisation

Indicator No 92

Average number of hours provided by volunteers to the care home (per year and per resident)

Indicator No 93

Average length of employment per staff member in the care home at one point in the year (e.g. 31st December)

Indicator No 94

Average length of time (days) needed to fill a staff vacancy with the same level of qualification

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Measuring Progress:Indicators for care homes‘